神經脊椎外科第83535號健康諮詢

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  • 患者信息: 18歲

    以前常常小痛,最近這半年來狀況變得很嚴重!
    脊椎MRI報告想請教醫生:
    您好,這是我家人去做核磁攝影出來的報告,他因為常常右腳發麻,腰常常酸痛,蠻嚴重的,都不太能彎腰,睡也睡不好!醫生說是罕見疾病,應該是家族遺傳,但是家裡或是上一代也沒這種情形這麼嚴重過,其他的他也敘述的不太清楚,想請教醫生,患者是一位24歲的男性,不知道報告上大致是什麼情況?感謝萬分
    報告內容:

    MRI of lumbar spine


    Technique:
    axial sagittal T1W, T2W
    sagittal fat-sat T2W; no post GD-DTPA

    the examination demonstrated signal intensity characteristic evidences consistent with:

    1), down ward displacement of the spinal cord and the tethered cord was concerned.
    2), string like signal intensity change in thecal sac from the level of L1-L5
    (hypersingal intensity on both T1W1 and T2W1 ) in favor of fibrolipoma of filum terminale.
    3), the remainder is unremarkable
    (normal neural foramen. normal alignment
    normal paravertebral soft tissue density,
    no abnormal signal intensity of the lumbar spine )


    Impression
    1), tethered cord
    2), bulging disc over L4-5 with spondylosis of lumbar spine

    2007-04-10 00:05:41

  • 莊活力醫師

    莊活力 醫師 於 2007-05-03 20:56:49 回覆

    1. 脊髓牽扯症候群
    2. L4-5 有骨刺
    http://211.22.100.29/website/doctor/DR1-12/pedns/spindys.html
  • 莊活力醫師

    莊活力 醫師 神經脊椎外科

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